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Home My WebLink About1-41-31w / �v R,rA ��- i I Q 1, ��c• I � lblQ �v R,rA ��- i I Q 1, ��c• I SrEVEiV oN; MARIE RECEIPT #407 J 149 JIMMY ST. DEED #1048 SEBASTIAN, FLORIDA 32958 LOTS 31 & 32, BLOCK 41, UNIT 1 ADDITION - WM. W. STEVENSON - INTERRED LOT 31 - 4130185 (? i Paid by CEMETERY Receipt No.. ......... Dated ...... (29 (85 .. _ .... _ . _ , . , , NO. List Price $ . 450 .00 ........ Maximum No. Eutial Spaces .....2......... . Net Paid $ . 450.00 ........ Monument permitted ... Fla t ............... ` 1048 Marie Stevenson Lots 31 6 32, Block 41, Unit 1 addition 149 Jimmy St. (Data above this One for City Record only) Sebastian, Florida 32958 (iifli of Orbasiian Truirferg ]DPPb NO• 4• 1648 THIS INDENTURE MADE Tkls .....29th........... day of .......... Ap ;i1 ............................ A. D.. between the City of Sebeetlaa, a municipal corporation existing under the laws of the State of Florida. as Grantor and ............?`is�r?.�. Stet.{ r4A ..................................................................... ............................... 149 Jimmy St. ............ Sebastian,..FdoarjA Ta.. 32958 ......... ............................... • ........ . ............................... ofthe County of ...Indian River ........................ awl state of ....Florida .... ......... ............................... as Ora ta% WITNESSETH, That the Grantor for and in consideration of the sum of Z .. .. .50...00.. ............. to It in hand paid, the receipt whereof is herewith so- knowiedged, does by this instrument grant, bargain, sell, release, convey and confirm unto the Grantee . , ,her. Inks, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to-wit: All of Lot(s)31. 6 .32 Block, .41..... ,UNIT 1 . add i t ion , of Sebastian municipal cemetery as per Plat Number 1 thereof me corded in Plat Book 2, at page 65 of the public records in the office of the Clark of the Circuit Court of St. Lucie County of Florida; said land now lying and being in Indian River County, Florida. To Have and to Hold the same forever; provided that said property shall be used solely and exclusively for the interment of the human dead and shall be used, kept and maintained at all times in accordance with the rubs and regulations, ordinances and resolutions of the City of Sebastian, Florida, hereto- fore, now and hereafter adopted or provided for the government and operation of seal cemetery. The conditions, restrictions and requirements contained in this instrument shag be covenants running with the land. In the event of the failure of the owner of any property situated within said cemetery to ob- serve and comply with such rubs, regulations, resolutions and ordinances and the conditions of the tided of conveyance thereof then the title of such owner in and to said property shall terminate and the same shall revert to the City of Sebastian, Florida. IN WITNESS WHEREOF, The said party of the first part has caused this instrument to be executed in its name and on its behalf by its Mayor and attested by Its City Clerk and its corporate seal to be hereto affixed, the day and year first above written. 4 - - -/. 'r�. .. 0'. (. City Clark Signed, Sealed and Delivered the Presence of, ,(.............. STATE OF FLORIDA COUNTY OF INDIAN RIVER CITY OF ASTIAN, FLO DA By .... .. _� �` ^ .......�r. 1 �!. I HEREBY CERTIFY, That ow ..... 29 th ..............day of ........ " P !- "............................ before me personally appeared ....... Jim Gallagher ................................ and .. Deborah, q,. ,XraggA........... respectively Mayor and City Clerk of the City of Sebastian, a municipal corporation under the laws of the State of Florida to me known .to be the Individuals and officers described In and who executed the foregoing conveyance to Marie Stevenson .......... ............................... ........... .................................. ............................... .. ~' and severally acknowledged the execution thereof to be their free act and deed as such aficers thereunto duly authorised; and that the Official aeal of said corporation is duly affixed thereto, and the said conveyance is the a¢t said•&A.of Wd corporation. WITNESS my alswature and official seal at Sebastian, in the County of Indian River and State of Florida, the day and year last AforeaOK iota Public. State of Florida a1i►rR. • • . .. • • . my eortm isslow expires, Notary Public. State of HorWa My Commiss iion Expes Aug. 22, 1488 aMNd tAa ;rev rw' brw"Ce. hs. THE SEBASTIAN CEPSTERY City of Sebastian Sebastian, Florida RECEIPT IS HEREBY ACKNOWLEDGED OF THE SUN OF: yo7 Dollars ($ yS b • An)_) a��Ua:= � on this .2 q ZX day o 4 _, 1986"for the purchase of the following described Cemetery Lots upon the terms and conditions as stated herein: Description of Property: Cemetery Lot (s)##21 '4 j'y B1ock#1 L/ / Unit#i Purchase Pric — �, Dollars ($ Y-5,6—,T ) Terms and conditions of sale: (. (/L' l�i� 44- This contract shall be binding upon both parties, the seller and the purchaser, when approved by the owner of the property above described. I, or we, agree to purchase the above described property on the terms and conditions stated in the foregoing instrument: The City of Sebastian agrees to sell the above mentioned property to the above named purchaser(s) on the terms and conditions stated in the above instrument. City or S b s ian Witness A. (Type or Print) 1. Name of Deceased 2. Place of Death County 1 STATE OF FLORI /- 3/ 16 �/ al� DEPARTMENT OF HEALTH & REHABOATIVE SERVICES VITAL STATISTICS APPLICATION FOR BURIAL — TRANSIT PERMIT � Middle Last DATE Month Day Year OF 4TT.i.IAM W cmtivvlren►7 DEATH City, Town or Location Name of (if neither, give street address) Hosp. or inaian giver Sebastian Inst. Htunana Hos ital- Sebastian 3. Name of Medical Certifier ik Physician 7754 Bay Street Address Farhat Khawa a ❑Medical Examiner 4. Funeral Home/ Name ®ltilOt�00l tKW Strunk Funeral Horne Address 734 N. Central Avenue, Sebastian, Florida 5. Check a The medical certification has been completed and signed. A completed certificate of death accompanies Appro- this application. priate Box b Pat this death was from natural causes, that there wa accidetlt nor other cause of death. 1 X85 � He /she verified that 1a wa g will complete and sign the medical certification of 6. Funeral Director/ WfifdWWOW c was contacted on . He /she verified that medical certification. Medical Examiner, will complete and sign the Sign Fla. Lic. Nodlieq. -Ne. Date Signed BURIAL— TRANSIT PERMIT Permission is hereby ermit No. 1228-85 -154 y granted to dispose of this body. ® A five day extension of time for filing the death certificate (exclusive of weekends) has been requested and granted. If it cannot be filed within this time limit, a "Funeral Director /Direct Disposer Report" will be filed with Local Registrar of the County in which death occurred. Registrar or Sub- Registrar Signatur Date Issued —An it 2Q- 1985 C . AUTHORIZATION for CREMATION, DISSECTION or BURIAL —AT —SEA Signaturo or , Medical Examiner Date Medical Examiner, , gave authorization by telephone to Funeral Director /Direct Disposer. Date The Medical Examiner's approval must be obtained before disposal by any of the above methods. A waitin is required for all cremations. g period of 48 hours after death Method of Disposition: KA Inj BURIAL EI STORAGE C] CREMATION 0 OTHER (SI Signature of-6extort -r or Person -in- Charge )- CEMETERY OR CREMATORY Place of Disposition Z Date of Disposition mod. j' 1 This permit must be endorsed by the Sexton or person -in- charge (or by the Funeral Director /Direct Disposer when there is no Sexton) and returned within 10 days to the local County Health Department in the County where disposition occurred. HRS Form 326, APR. 81 (replaces previous editions which may be used.)